Skip to main content

Program Overview

The Child and Adolescent Psychiatry Training Program is a 2-year multidisciplinary program administered and taught by a large and diverse faculty.  While most of the training experiences are in Chapel Hill, residents spend time at the UNC Child Outpatient Program in Raleigh, NC, as well as a number of community psychiatry sites throughout the state.

We ensure that trainees acquire a sound knowledge of human development, and considerable emphasis is placed on psychodynamic principles. Our residents learn to effectively integrate the biological, psychological, and social aspects of child and adolescent psychiatric theory and practice, including:

  • Psychotherapy
  • Psychopharmacology
  • Group therapy
  • Family therapy
  • Crisis/emergency
  • Consult-liaison

Every resident who completes our program is competent in the development, assessment, and prevention psychopathology, and fully utilizes a full array of current child and adolescent psychiatric interventions from infancy through adulthood.  Also, for those who wish, we offer additional training in neuropsychiatry and research, and psychoanalytical training is available through the Psychoanalytic Institute of the Carolinas.

First Year

The first year of the Child and Adolescent Psychiatry Program training, closely supervised by attending physicians and faculty educators, gives the resident the skills needed to provide thorough evaluations of the child, their family, and their environment. This targeted focus leads to an in-depth social, biological, psychological, and psychodynamic understanding of the child.

During the first year, each resident spends approximately 9 months half-time working on child and adolescent inpatient units and three months part-time in child and adolescent neurology clinics. Residents also work with both children and parents in various outpatient settings, gaining experience in diagnosis and exposure to a wide variety of therapeutic modalities.  All residents carry several long-term psychotherapy cases and have at least 3 hours weekly of individual supervision of their outpatient work.

Second Year

In addition to continuing with outpatient work begun in the first year, during the second year of training residents rotate through a number of services and elective experiences:

  • Medical consult-liaison
  • Pre-school/school consult-liaison
  • Child maltreatment team
  • TEACCH Program for children with autism spectrum disorder
  • Developmental neuropsychiatry clinic
Sample Elective Opportunities
Research Eating Disorders
Autism Neuropsychiatry
Long-term Adolescent Hospitalization School Consultation
Consult-Liaison Activities Community Mental Health

By the end of the second year, the resident will demonstrate proficiency in six core competencies:

  • Clinical science
  • Interpersonal skills and communication
  • Patient care
  • Practice-based learning and improvement
  • Professionalism and ethical behavior
  • System-based care

Night Call / Rounding

Night call is kept at a minimum. First year child residents rotate weekly to provide back-up emergency call from home to General Psychiatry PGY-4s, but the call is infrequent and light. In the second year there is no night call. Each Child and Adolescent Psychiatry resident will round approximately every tenth weekend with the inpatient Child or Adolescent Psychiatry Attending.


Residents are expected to attend and participate in numerous weekly didactic experiences throughout both years.  These include a multidisciplinary diagnostic conference, a continuing case conference, a  selected topics and readings seminar, and CORE child seminar series focusing on normal development, pathology, and treatment. In addition, there are various didactic experiences on individual rotations.


In addition to being students, we also train residents to be teachers.  Second year residents are expected to function for a period of time as the chief resident and provide administrative and educational leadership.  Trainees are actively involved in teaching fellow general psychiatry residents and medical students, and are afforded an opportunity to help supervise junior residents who are providing psychotherapy to children.


If you have any questions about the UNC Psychiatry Child and Adolescent Psychiatry Fellowship, please do not hesitate to contact Lesia Irving, Residency Coordinator, at  or by phone at (984) 974-3881.